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Contact Information

ZEN LO DERMATOLOGY, INC
10120 WEST BROAD STREET
SUITE R
GLEN ALLEN, VA23060
 Phone: 804-934-0060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ZEN LO DERMATOLOGY INC · (Female)

NPI # 1679755789
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2007
Last updated 11/30/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101051656
  • VA Other 183408 ANTHEM
  • VA Other C09951 MEDICARE GROUP
  • VA Other DD7147 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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